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NPI Code Detail

MEDICARE: R CHRISTIAN JESPERSON D.C.

MEDICARE: R CHRISTIAN JESPERSON D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC14642CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11407819386OTHERCABLUE CROSS BLUE SHIELD OF CALIFORNIA
2830345045 0006OTHERCACIGNA PROVIDER #
3830345045AOTHERCACALIF IRONWORKERS
40004488663OTHERKYAETNA PIN #
5830345045OTHERCATAX ID
61407819386OTHERCABLUE CROSS OF CALIFONIA
7830345045 BOTHERCAHEALTH NET
8830345045-003OTHERMDGBS GRP BENEFITS
91457485080OTHERCANPI TYPE-2
10XXXXX7205 92021 0000OTHERCATRICARE

General Provider Information

NPI Number : 1407819386
Entity Type Code : Individual
Provider Name (Legal Business Name) : R CHRISTIAN JESPERSON D.C.
Provider Business Mailing Address
First Line : 1333 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-3434
Country : US
Telephone Number : 619-444-4792
Fax Number : 619-444-4892
Provider Business Practice Location Address
First Line : 1333 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-3434
Country : US
Telephone Number : 619-444-4792
Fax Number : 619-444-4892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 08/24/2011

Similar Medicare Providers

1457385080 — JESPERSON CHIROPRACTIC INC
Practice Location Address:
1333 N 2ND ST
EL CAJON, CA
92021-3434
Practice Phone: 619-444-4792
Practice Fax: 619-444-4892
1811222987 — JESPERSON CHIROPRACTIC, INC
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1333 N 2ND ST
EL CAJON, CA
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Practice Phone: 619-444-4792
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1063841609 — DR. DANIEL HENRIE SR. D.C.
Practice Location Address:
1333 N 2ND ST
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Practice Fax: 619-444-4892
1598273112 — LINDA MARIE WALTERS
Practice Location Address:
1333 N 2ND ST
EL CAJON, CA
92021-3434
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Practice Fax:
1316561020 — HENRIE CHIROPRACTIC PC
Practice Location Address:
1333 N 2ND ST
EL CAJON, CA
92021-3434
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Practice Fax: 619-444-4892
1750142584 — DR. GABRIELLE NICOLE GIORDANO D.C.
Practice Location Address:
1333 N 2ND ST
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92021-3434
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Practice Fax:

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